A new study led by UCLA Health highlights the link between socioeconomic disadvantage, Medicaid insurance, and poorer survival rates after heart transplantation.
University of California - Los Angeles Health SciencesJan 24 2025 Research ers found that Medicaid -insured heart transplant patients had a higher likelihood of developing cardiac allograft vasculopathy , a condition that affects transplanted hearts and can limit long-term survival. It has been reported that CAV contributes to more than 30% of all deaths in the first 5 to 10 years following heart transplantation .
CAV is a leading cause of morbidity and mortality following heart transplant. Our work demonstrates that socioeconomic disadvantage influences the risk of CAV in the months and years following this life-saving operation. Although the ACA has expanded access to heart transplantation for previously uninsured patients, significant barriers to accessing longitudinal post-transplant treatment, affordable medications, and equitable, high-quality care remain.
Notably, the study found that the risk of developing CAV was mitigated with treatment at high-volume transplant centers. While Medicaid patients at non-high-volume centers had a significantly higher risk of developing CAV, at high-volume centers the risk for Medicaid patients was similar to those who were not on Medicaid.
Medicaid Transplant Heart Transplantation Research Surgery
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